| Crc Behavioral Consulting, Llc | |
|
4707 Retreat Ln Apt 278 Fredericksburg VA 22408-7816 | |
| (703) 973-3479 | |
| Not Available |
| Full Name | Crc Behavioral Consulting, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4707 Retreat Ln Apt 278, Fredericksburg, Virginia |
| Authorized Official Name and Position | Celia Kellerman (CO-OWNER) |
| Authorized Official Contact | 7039733479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crc Behavioral Consulting, Llc 252 Patina Pl St Augustine FL 32092-7602 Ph: (703) 973-3479 | Crc Behavioral Consulting, Llc 4707 Retreat Ln Apt 278 Fredericksburg VA 22408-7816 Ph: (703) 973-3479 |
| NPI Number | 1710440268 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 05/27/2022 |
| Certification Date | 05/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710440268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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